Ke makaʻu nei ʻoe i ka lobectomy? E wehewehe maʻalahi kākou i nā mea āpau.

Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pono e wehe ʻia kekahi hapa o kou māmā ma ke ʻoki ʻana? He mea maʻamau ka manaʻo nui i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā mau ʻōlelo. "Ke wehe nei lākou i kahi ʻāpana o koʻu māmā? E hiki anei iaʻu ke hanu ma hope o kēlā? He mea weliweli anei kēia?" He nui paha kāu mau nīnau e like me kēia i loko o kou manaʻo. Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki ʻana, i kapa ʻia he lobectomy, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka lobectomy?

ʻO ka lobectomy ka wehe ʻoki ʻana i kahi ʻāpana, a i ʻole "lobe," o kou māmā. Ua ʻike anei ʻoe he ʻekolu lobes ko ko mākou māmā ʻākau a ʻelua ko ko mākou māmā hema? Hoʻopau wale kēia ʻoki ʻana i ka lobe maʻi, e waiho ana i ka lobe olakino.

Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa māmā mua. He lāʻau lapaʻau maikaʻi loa ia, ʻoiai no ka maʻi kanesa māmā ʻaʻole liʻiliʻi . I kekahi manawa, hoʻoholo paha ke kauka e wehe i kahi ʻāpana wale nō o kahi ʻāpana. Ua kapa ʻia kēia he segmentectomy .

He aha nā ʻano hana ʻoki kino?

I ka wā ma mua, ua hana ʻia kēia ʻano hana ma ka hana ʻana i kahi ʻoki nui ma ka umauma a me ka wehe ʻana i nā iwi ʻaoʻao. Ua kapa ʻia kēia he thoracotomy . Akā i kēia manawa, ma muli o ka holomua o ka ʻenehana, hana ʻia ka hapa nui o nā hana ʻoki me ka hoʻohana ʻana i nā ʻano hana minimally invasive . I ka ʻōlelo maʻalahi, hana ʻia kēia hana ma o kekahi mau lua liʻiliʻi, me ka ʻole o ka hana ʻana i kahi ʻoki nui.

• VATS (ʻoki kino Thoracoscopic i kōkua ʻia e ke wikiō): Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka ʻaoʻao o ka umauma, ke hoʻokomo ʻana i kahi kāmela liʻiliʻi ma o kekahi, a me ke hoʻokomo ʻana i nā mea hana ʻoki ma o nā ʻoki ʻē aʻe. Hana ke kauka i ke ʻoki ʻana me ka nānā ʻana i loko o nā māmā ma kahi pale nui. ʻAʻole pono kēia ʻano hana i ka haki ʻana a i ʻole ka hoʻoneʻe ʻana i nā iwi ʻaoʻao.
• ʻIOLE (ʻoki kino ʻo Robot-Assisted Thoracoscopic): Ua like loa kēia me VATS. Eia nō naʻe, ma ʻaneʻi ke kāohi nei ke kauka lapaʻau i nā mea kani ma o kahi ʻōnaehana o nā lima robotic. ʻAe kēia i ka hana ʻoki kino e hana ʻia me ka akahele a me ka pololei.

Pehea mākou e hoʻomākaukau ai no kēia ʻoki kino?

ʻOiai he hana ʻoki kino nui kēia, e hana ʻia kekahi mau hoʻokolohua ma mua e ʻike ai i ka mākaukau o kou kino no ia mea. Mai hopohopo ma hope o ka ʻike ʻana i kēia mau mea. No kou palekana kēia a pau.

Ma waho aʻe o kēia mau hoʻokolohua, e ʻike pū ʻoe i kahi kauka cardiologist a me kahi anesthesiologist. E wehewehe ke kauka anesthesiologist i ka anesthesia e hāʻawi ʻia iā ʻoe i ka wā o ke ʻoki ʻana a pehea e mālama ai i ka ʻeha ma hope o ke ʻoki ʻana.

E haʻi pololei aku ke kauka iā ʻoe i ka manawa e pono ai ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i ka pō ma mua o ke ʻoki ʻana.

He aha ka mea e hana maoli ana i ka wā o ke ʻoki kino?

ʻAʻole pono ʻoe e hopohopo iki no kēia. E hāʻawi ʻia ʻoe i ka anesthesia ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, no laila e hiamoe loa ʻoe. ʻAʻole ʻoe e ʻeha iki.

1. Hoʻokomo ʻia kahi ʻōmole ma kou puʻu a hoʻopili ʻia i kahi mīkini (ventilator) e kōkua iā ʻoe e hanu.

2. E hoʻokomo ʻia kahi ʻōmole IV i loko o kahi aa koko ma kou lima a e hāʻawi ʻia nā lāʻau lapaʻau e pono ai ma o ia mea.

3. A laila hoʻomaka ke kauka ʻoki i ke ʻoki ʻana ma ka umauma me ka hoʻohana ʻana i ke ʻano VATS, RATS, a i ʻole Thoracotomy i kūkākūkā mua ʻia.

4. Hoʻokaʻawale pono ʻia nā kīʻaha koko a me nā lālā bronchial e alakaʻi ana i ka ʻāpana māmā i hoʻopilikia ʻia a wehe loa ʻia ka ʻāpana. Eia naʻe, ʻaʻole i hōʻino ʻia nā kīʻaha koko a me nā lālā bronchial e alakaʻi ana i nā ʻāpana olakino ʻē aʻe.

5. Hoʻokomo ʻia ka ʻāpana i wehe ʻia i loko o kahi ʻeke kūikawā a lawe ʻia i waho o ke kino.

6. Inā he maʻi ʻaʻai ia, e wehe ʻia kekahi o nā ʻiʻo olakino a puni ia. E wehe ʻia kekahi mau lymph node ma ka umauma a hoʻouna ʻia no ka hoʻāʻo ʻana e ʻike inā ua laha ka maʻi ʻaʻai.

7. Ma hope o ka pau ʻana o nā mea a pau, e nānā pono i nā wahi e kahe ana ke koko a holoi pono a hoʻomaʻemaʻe i loko o ka umauma.

8. ʻO ka hope loa, ua pani ʻia nā ʻoki me nā humuhumu a i ʻole nā ​​staples.

ʻO ka maʻamau, ʻelua hola ka lōʻihi o ke ʻoki kino holoʻokoʻa, akā hiki ke loli kēia ma muli o ka paʻakikī o ke ʻoki kino.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea e mālama ʻia ai ma ka haukapila

Ma hope o ke ʻoki kino, e hoʻāla ʻia ʻoe a lawe ʻia i kahi keʻena hoʻōla, kahi e hāʻawi ʻia ai iā ʻoe ka lāʻau lapaʻau e kāohi i kou ʻeha.

• Ke hoʻomaopopo piha ʻoe, wehe ʻia ke ʻōmole hanu. ʻAʻole hoʻomanaʻo ka hapa nui o ka poʻe i kēia.
• A laila e hoʻoneʻe ʻia ʻoe i kahi keʻena maʻi laulā a i kekahi manawa i ka ʻāpana mālama koʻikoʻi (ICU).
• E hoʻokomo ʻia kekahi a ʻelua paha mau ʻōmole (nā ʻōmole hoʻokahe umauma) i loko o kou umauma. Hoʻokahe kēia mau mea i ka wai a me ka ea keu e hōʻiliʻili ana a puni kou mau māmā. E wehe ʻia lākou i loko o kekahi mau lā.
• Nā hoʻomaʻamaʻa ʻana i ke kuni a me ka hanu ʻana: E paipai nā kahu maʻi iā ʻoe e kuni pinepine a lawe i nā hanu hohonu. ʻOiai he mea ʻeha iki paha kēia, he mea nui ia e mālama i kou mau māmā i ka ākea a pale i nā maʻi.
• I mea e pale ai i nā ʻūpā koko i kou mau wāwae i kou wā e moe ana, hiki iā ʻoe ke lawe i nā lāʻau hoʻokahe koko a komo i nā mea hoʻopili kūikawā ma kou mau wāwae.
• Mai ka lā ma hope o ke ʻoki kino, pono iaʻu e hoʻomaka e hele mālie me ke kōkua o nā kahu maʻi.

E ʻike pū kākou e pili ana i nā pono a me nā pilikia.

E like me nā ʻoki kino āpau, aia kekahi mau pono a me kekahi mau pilikia.

Pōmaikaʻi nui:

No ke kanesa o ka māmā i ke kahua mua, ʻo kēia ʻoki kino ka manawa kūpono loa no ka ho'ōla piha ʻana .

Nā pilikia hiki ke loaʻa (Nā pilikia):

ʻAʻole hiki kēia i nā kānaka a pau, akā he mea nui e ʻike iā lākou.

• ʻO ka fibrillation atrial - ʻO kēia ka pilikia maʻamau.
• Ke kahe koko nui ʻana.
• Ke kahe ʻana o ka ea mai loko mai o nā māmā e mau ana no kekahi mau lā.
• Nā ʻūpā koko ma nā wāwae.
• Nā maʻi umauma.
• Nā maʻi neurological (e.g., nā loli leo).
• Ka paʻakikī o ka hanu ʻana i ka wā hoʻoikaika kino.

Pehea e hoʻōla koke ai ma hope o ka hoʻi ʻana i ka home?

Inā ua hana ʻia ʻoe i ke ʻoki kino me ka hoʻohana ʻana i kahi ʻano hana hou e like me VATS a i ʻole RATS, hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i loko o ʻelua a ʻekolu mau lā . ʻOi aku ka liʻiliʻi o ka ʻeha, no laila ʻoi aku ka wikiwiki o ka manawa hoʻōla. Hiki iā ʻoe ke hoʻi i ka hana māmā, e like me ka hana ʻana ma ke keʻena, ma hope o ʻelua pule. Inā he hana kāu e pono ai ka hāpai kaumaha, pono ʻoe e hoʻomaha no ka liʻiliʻi o ʻehā pule.

Inā hana ʻia ʻoe i ke ʻoki hāmama (thoracotomy), pono ʻoe e noho i ka haukapila no ʻekolu a ʻehā lā , a e lōʻihi iki ka manawa e hoʻōla ai.

Ma hope o ka hoʻi ʻana i ka home:

• E hāʻawi ʻia ʻoe i nā lāʻau ʻehaʻeha ikaika no kahi o hoʻokahi pule.
• He mea maikaʻi inā aia kekahi e kōkua mai i ka hoʻomaka ʻana.
• Pono paha kekahi poʻe i ka oxygen therapy ma ka home no kekahi manawa.
• Mai hoʻokele kaʻa a hiki i ka wā e lawe ai ʻoe i nā mea hoʻomaha ʻeha.
• E loaʻa iā ʻoe kahi manawa hoʻopaʻa me kāu kauka i loko o 1-3 mau pule ma hope o ke ʻoki ʻana. Hiki iā ia ke kūkākūkā i kāu mau hopena hoʻāʻo, nānā i kou mau ʻeha, a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo no ka pehea e hoʻomau ai.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ke kuni, ka ʻūlū, a me ka luhi nui, e kāhea koke aku i kāu kauka.

Eia kekahi mau nīnau hou aʻe āu e noʻonoʻo ai:

He hana ʻoki kino nui anei kēia?

ʻAe , he ʻoki kino nui ka lobectomy no ka mea he palupalu a nui nā kīʻaha koko o nā māmā. No laila, aia kekahi pilikia.

He aha ke ola e ola ai ma hope o ke ʻoki kino?

Aia wale nō kēia ma ke kahua o ke kanesa. Hiki ke hoʻoholo ʻia kēia mai ka hōʻike pathology ma hope o ke ʻoki ʻana. I ka hapanui o nā hihia, inā e wehe ʻia i nā pae mua, hiki ke hoʻokō ʻia kahi ho'ōla piha.

Hiki i ke kanesa ke hoʻi hou mai?

Aia kahi manawa kūpono. ʻO ia ke kumu e nānā ʻia ai ʻoe me nā scan CT i kēlā me kēia ʻeono mahina no ʻelima mau makahiki ma hope o ke ʻoki ʻana. Inā ʻaʻole e hoʻi mai ke kanesa ma hope o ʻelima mau makahiki, ua manaʻo ʻia ua ho'ōla loa ʻia ʻoe.